Dr Charles Small Sport and Spine Chiropractic and Physical Medicine

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

DR CHARLES SMALL SPORT AND SPINE CHIROPRACTIC AND PHYSICAL MEDICINE

Practice address

1213 N Sepulveda Blvd
Manhattan Beach, CA 90266-5103

Phone

(310) 545-4188

NPI assigned

Feb 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles P Small, DCNPI 1528604980

Title

Chiropractor

Phone

(310) 545-4188

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Patrick Small, DC

  • Chiropractor
  • Manhattan Beach, CA
  • NPI 1528604980
  Medicare reassignment NPD Authorized official
• Robert C. Bates, D.C.

  • Sports Physician Chiropractor
  • Manhattan Beach, CA
  • NPI 1972684314
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1699530436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665103",
            "telephone_number": "310-545-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 N SEPULVEDA BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665103",
            "telephone_number": "310-545-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES SMALL SPORT AND SPINE CHIROPRACTIC AND PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "310-545-4188",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dormer Lee, PSY.D.
• Monica Dornick
• Annie Dornoff, PHARMD
• Emily Downs, MFT TRAINEE
• Margo Doxakis Stein, MFT PSYCOTHERAPIST
• Dr Guzik Psychology Inc
• Dr. Lori Zaremski, PHD
• Dr. Patricia Panucci
• Suzanne Michele Dugan, PH.D.
• Kathryn Duncan

• Chiropractor in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.